Healthcare Sector Awaits Regulatory Reform
Two actions that minimize the impact of federal agency guidance documents concern some healthcare experts. Although these changes do not apply directly to healthcare regulatory agencies, government litigators could use them to determine the relevance of HHS or CMS guidance.
Another Hospital Loses a Tax Case
As lawmakers scrutinize the definition of “charitable” organizations, a recent case involving the timing of taxation of a hospital reclassified as for-profit illustrates the point.
NLRB Asks for Public Input on 2014 Election Rule
NLRB is requesting public comment on union election regulations.
BPCI Advanced Improves Care, Physician Alignment, and Revenue
A healthcare thought leader explains how hospitals can generate savings, improve clinical care, and foster physician alignment by participating in BPCI Advanced.
Developing a Specialty Medical Home Contract
University of Pittsburgh Medical Center gastroenterologists have teamed with UPMC Health Plan to develop a specialty medical home contract for patients with inflammatory bowel disease.
3 Key Disciplines for Productive Denials Management
Tracking trends, categorizing denials by code, and implementing root cause analysis processes are actions that provide steady progress toward denial management.
The Future of Healthcare Organizations Depends on Managing Medicare Costs
A healthcare thought leader explains the current Medicare payment system challenges and how CFOs can offset future Medicare cuts through cost containment.
NLRB Reverses ‘Joint Employer’ Decision
Although joint employer status is less likely now in the wake of recent NLRB decisions, hospitals are cautioned to involve labor relations counsel in drafting any subcontracting or outsourcing arrangements.
Video: Tips for Secure Medical Record Transmission to Payers
Common mistakes are not using security options to send records and not tracking what data or claims are sent.
Advancing Contracting Strategy in a Complex Environment
Providers should approach their contracting portfolios with the intent to drive value creation across all payers and products. Likely challenges will be narrow networks and tiering and the transition from fee-for-service to value-based care.